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Globalization and Health Inequities in Latin America pp 187–203Cite as

La Cumbre, Valle del Cauca. The Challenge of Implementing Sustainable Territorial Development Initiatives. Critical Factors and Consequences in the Reduction of Inequities in Health

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Abstract

The municipality of La Cumbre in Colombia, founded in 1913, celebrated its centenary without the realization of a sustainable territorial development project, deprived of a well-structured, prospective plan characterized by its steady growth. The situation is impossible to hide nad reveals the contradictions of government plans, which systematically ignored the socioeconomic conditions of the municipality and its population.

This chapter presents a proposal for analysis regarding the relevance and feasibility of an initiative oriented toward the municipal transformation through a decalogue of initiatives to be developed by a partnership between academic, governmental, and social actors that would strive for the articulation between the process of sustainable territorial development, the municipal development plan, and the territorial health plan (THP). The main goal of this initiative was the reduction of health inequities based on an intersectoral system in which is conducted an analysis of unsatisfied basic needs (access to housing, health services, and education and economic activity) and the role played by municipal political, social, and economic forces under the stewardship of intersectoral and nonvertical, nonsectoral, and nondisciplinary work. Further, the chapter reviews the contributions and critical aspects of some previous studies carried out in the municipality.

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Notes

  1. 1.

    Conformed by the inhabitants of the neighborhood sharing common interests and interacting in a physical space, based in the practice of social values such as solidarity, reciprocity, and trust, conforming organizations, private corporations of local development, user leagues, community action boards, and observers’ functions, all nonprofit.

  2. 2.

    Category 6 municipalities in Colombia are those with a population of less than 15,000 inhabitants. Also this category groups the municipalities with lesser volume of Free Destination Current Income. In 2007, 89% of the municipalities in the country were classified as category 6.

  3. 3.

    In synthesis, intersectoral management is a process of capacity building focused on strengthening a holistic perspective of health, linked to the territorial plans of health, by including in all territory policies the subject of health, based on the strengthening of intersectoral action through the effective implementation of policies and sectoral plans deployed in the framework of a territorial development plan with the explicit aim of reducing health inequities.

  4. 4.

    “In the municipal mayor unemployment reaches a rate of 31.54%. The high growth of the economically active population (EAP) translates into higher unemployment in the face of few job opportunities” (EOT 2000:33). Forty-five percent of our population is economically active (PEA) (between 12 and 25 years), 30% of the entire population have graduated from high school (PDM 2012:23).

  5. 5.

    The mentioned study is one of the cases achieved by De Salazar in this section.

  6. 6.

    Understanding this system as a management model constituted of different areas, organizations, and actors that, collaboratively and in a structure facilitating a logic of joint action, reduce conceptual and operative complexity, guiding the system’s actions with common proposals without reduplicating efforts unnecessarily.

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Author information

Authors and Affiliations

  1. Foundation for Public Health Development (FUNDESALUD), Cali, Colombia

    Roberto Carlos Luján Villar

Authors
  1. Roberto Carlos Luján Villar
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Correspondence to Roberto Carlos Luján Villar .

Editor information

Editors and Affiliations

  1. Foundation for Public Health Development (FUNDESALUD), Cali, Colombia

    Ligia Malagón de Salazar

  2. Foundation for Public Health Development (FUNDESALUD), Cali, Colombia

    Roberto Carlos Luján Villar

Appendix

Appendix

Table 11.3 Developed studies, instruments, and documents available on the health situation in La Cumbre
Full size table
Table 11.4 Actors, actions, spaces, and public health programs, by type of community organization in municipality of La Cumbre
Full size table

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Luján Villar, R.C. (2018). La Cumbre, Valle del Cauca. The Challenge of Implementing Sustainable Territorial Development Initiatives. Critical Factors and Consequences in the Reduction of Inequities in Health. In: Malagón de Salazar, L., Luján Villar, R. (eds) Globalization and Health Inequities in Latin America. Springer, Cham. https://doi.org/10.1007/978-3-319-67292-2_11

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  • DOI: https://doi.org/10.1007/978-3-319-67292-2_11

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  • Print ISBN: 978-3-319-67291-5

  • Online ISBN: 978-3-319-67292-2

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